NPI | 1093857773 |
---|---|
Former Name | BARBARA BEDNARZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 19289) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19289) |
106H00000X Marriage & Family Therapist (Licence: TX 005104-005752) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-09 |